JENNIFER ANN GULLICKSON MS, LPCC, NCC
NPI 1760965156
Counselor in Morris, MN

Active since September 11, 2018PECOS EnrolledAccepts Medicare Assignment
400 E 1ST ST, MORRIS, MN 56267(320) 589-1313 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 20, 2023, Sep 11, 2018 (2 updates tracked since 2018).

About Jennifer Ann Gullickson Ms, Lpcc, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER ANN GULLICKSON MS, LPCC, NCC (NPI 1760965156) is an individual counselor in Morris, Minnesota, licensed in Minnesota (CC01875) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1760965156
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJENNIFER ANN GULLICKSONCredential: MS, LPCC, NCC
Location Address400 E 1ST STMorris, MN 56267-1408
Mailing Address400 E 1st StMorris, MN 56267-1408
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 11, 2018
Last NPPES UpdateJanuary 20, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2023
✔ NPI 1760965156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MN · CC01875
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License CC01875 (MN)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License CC01875 (MN)
400 E 1ST ST, Morris, MN 56267

Other Names 1

Former Name (1)Jennifer Ann Petersen

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Ann Gullickson Ms, Lpcc, Ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850735143
PECOS Enrollment IDI20240214002594
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Gullickson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
400 EAST 1ST STREET
Morris, MN 56267
  • Reassigned Medicare billing, Minnesota enrollment
  • 143 clinicians in this Medicare group
Rural Health
496 S MAIN ST
Starbuck, MN 56381
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1538178520 (Minnesota)
  • 111 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
400 E 1ST ST
MORRIS, MN 56267
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
400 E 1ST ST
MORRIS, MN 56267
Nurse Practitioner (Family)
400 E 1ST ST
MORRIS, MN 56267
Pharmacist
400 E 1ST ST
MORRIS, MN 56267
Family Medicine
400 E 1ST ST
MORRIS, MN 56267
Nurse Practitioner (Family)
400 E 1ST ST
MORRIS, MN 56267
Nurse Practitioner
400 E 1ST ST
MORRIS, MN 56267
Physical Therapist
400 E 1ST ST
MORRIS, MN 56267

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Gullickson's NPI number?

The NPI number for Jennifer Gullickson is 1760965156. It was assigned to this individual provider in the NPPES registry on September 11, 2018. The provider is also known as Jennifer Ann Petersen.

Where is Jennifer Gullickson located?

Jennifer Gullickson practices at 400 E 1st St, Morris, MN 56267. The listed phone number is (320) 589-1313.

What is Jennifer Gullickson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jennifer Gullickson enrolled in Medicare?

Yes. Jennifer Gullickson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jennifer Gullickson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Gullickson reassigns Medicare benefits to 2 organizations: Stevens Community Medical Center Inc (Morris, MN) and Glacial Ridge Hospital District (Starbuck, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Gullickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Gullickson accept?

Health plans from Sanford Health Plan list Jennifer Gullickson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Gullickson was last updated on January 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.